临时心脏起搏器抢救儿童暴发性心肌炎疗效评价

Children with fulminant myocarditis rescued by temporary cardiac pacemaker

目的总结儿童暴发性心肌炎合并Ⅲ度房室传导阻滞(Ⅲ°AVB)时临时心脏起搏的救治经验。方法对8例置入临时心脏起搏器的暴发性心肌炎合并Ⅲ°AVB患儿的临床资料进行临床分析。结果 8例患儿病程短,呈暴发趋势,入院后迅速安置临时心脏起搏器后保证了患儿的心搏出量,临床症状好转,赢得了抢救时间和机会,其中1例安置永久起搏器,1例放弃治疗,6例预后良好。结论安置临时心脏起搏器方法简单、起效迅速、效果稳定、创伤小、并发症少,是抢救暴发性心肌炎合并Ⅲ°AVB患儿生命的有效方法。

Objeective To summarize treatment experience of temporary cardiac pacemaker therapy on children withⅢdegree atrial ventricular block induced by fulminant myocarditis.Methods The clinical data of 8 children withⅢdegree atrial ventricular block induced by fulminant myocarditis rescued by temporary cardiac pacemaker were retrospectively analyzed.Results 8 cases exacerbated fulminatly.All survived finally by heart pacing to keep the cardiac output,clinical symptoms improved.The time and chance were given to take further treatments.1 case needed to use permanent pacemaker.1 case was given up by parents.6 cases had better outcomes.Conclusion Installing temporary cardiac pacemaker,as a kind of practical rescue measure,which have repid and stable effect,less trauma and less complications,can effectively save the children＇s life withⅢdegree atrial ventricular block induced by fulminant myocarditis.